Mary Lourdes Bird, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036-059700 Issued in IL

Practice address

699 S Edgewood Ave
Elmhurst, IL 60126-4653

Phone

(630) 834-1192

Fax

(630) 941-0201

NPI assigned

Aug 2, 2006

Last updated

Jan 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1669489464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 S EDGEWOOD AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264653",
            "telephone_number": "630-834-1192",
            "fax_number": "630-941-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 S EDGEWOOD AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264653",
            "telephone_number": "630-834-1192",
            "fax_number": "630-941-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "MARY",
        "middle_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036-059700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret M, Biancofiori, CRNA
• Michael John Bicknell, DDS., MS
• Dylan Bihun, PHARMD
• Darlene Sliva Bingham, CRNA
• Bioserenity DT Inc.
• Cristina Bistriceanu
• Lauren Black
• Lauren Janine Black, LCSW, CADC
• Samantha Blackwell, BCBA
• Matthew Leon Blass, DDS

• Anatomic Pathology & Clinical Pathology Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.